Individual
DR. ELIZABETH EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEPOT DR, WACONIA, MN 55387-1874
(952) 442-2146
(952) 442-5643
Mailing address
5725 ENDICOTT AVE SW, WAVERLY, MN 55390-8624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118563
MN
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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